<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Acct_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-acct_id" data-rule="required" data-source="acct/index" class="form-control selectpage" name="row[acct_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Jdy_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-jdy_id" data-rule="required" data-source="jdy/index" class="form-control selectpage" name="row[jdy_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Jdy_num')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-jdy_num" class="form-control" name="row[jdy_num]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Type')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-type" class="form-control" name="row[type]" type="text">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
